NYC 9/11 Public Portal Document
AUG-06-2002 12:18 FROM DEP LEGAL TO 4422 P.03/06
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among other things, to the common areas and
I understand that the Program activities will require access,
interior spaces, storage areas, elevators, and
heating, ventilation and air condition systems ("HVAC"), the
areas of the Building. Cleaning
furnishings such as carpeting and upholstered furniture in the common
Building and for the HVAC system.
activities will be performed, as necessary, throughout the entire
ofdust removal from all surfaces, including,
I understand that the Program will employ various methods
but not limited to, vacuuming, steam cleaning and wet wiping.
present and observe the Scope A cleaning
I understand that I, or my authorized representative, may be
and monitoring activities being performed in the Building.
which was received for the Building, or
I agree that insurance payments and/or any other compensation
Program for the Building, and which has not
will be received in the future, for activities covered by the
Management Agency. Instructions
been spent for such purposes, will be paid to the Federal Emergency
for such reimbursement will be provided upon request to EPA.
SAMPLING RESULTS
provide the undersigned with the results
I understand that at the conclusion of the investigation, EPA will
the Program will be made
of the monitoring of the Building. Monitoring data in EPA's data base for
confidential.
available to the public, but the identity of the participants will be kept
AUTHORIZED SIGNATURE
I certify that I am authorized to make this request for the Building.
Signature Date
Name and Title (PRINT)
NYC-WTC 000148070
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